Individual
ANDREW STEPHEN BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 NE 96TH ST STE A, LIBERTY, MO 64068-1396
(816) 415-5808
(816) 415-8083
Mailing address
6900 N AMES AVE APT E, KANSAS CITY, MO 64151-4859
(417) 214-5848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021019497
MO
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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